| Dr David Gregory Hernandez, DO | |
|
1400 South Dobson Road, Attn: Bmg Hospitalist Team/amanda Gump, Mesa, AZ 85202 | |
| (480) 412-6788 | |
| (480) 412-6848 |
| Full Name | Dr David Gregory Hernandez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 1400 South Dobson Road, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184879900 | NPI | - | NPPES |
| A-2092-17 | Other | NM | NM OSTEOPATHIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A-2092-17 (New Mexico) | Secondary |
| 207R00000X | Internal Medicine | 006599 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 006599 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
| Banner Ocotillo Medical Center | Chandler, AZ | Hospital |
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 636 |
| Entity Name | Banner Hospital Based Physicians Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Banner - University Hospital Based Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Gregory Hernandez, DO 1400 South Dobson Road, Attn: Bmg Hospitalist Team/amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788 | Dr David Gregory Hernandez, DO 1400 South Dobson Road, Attn: Bmg Hospitalist Team/amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788 |
Dr. Katelyn Rheault, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 602-839-3644 |
Donald Joseph Velarde, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4711 E Falcon Dr, Suite 355, Mesa, AZ 85215 Phone: 480-357-2048 Fax: 480-214-5147 |
Dr. Lana Beth Rogoff, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-3000 |
Liza Anwar, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209 Phone: 480-358-6100 |
Stephen Alan Cushner, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4711 E Falcon Dr, Suite 202, Mesa, AZ 85215 Phone: 480-357-2048 |